NHS Health Checks - Quality Improvement in Wakefield
PHE ePoster Library. Houghton R. 09/10/18; 221157; 165
Mr. Russell Houghton
Mr. Russell Houghton
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Abstract Introduction/BackgroundConexus Healthcare was tasked to improve quality in the NHS Check Programme in Wakefield, with a targeted approach to prioritise patients with High BMI or Smokers.Conexus introduced a quality control system through access to GP data this has led to significant improvements in service quality, and potential for a positive impact on lifestyle choices.MethodConexus (Wakefield GP Confederation) has developed a suite of tools for Wakefield SystmOne practices to use, to record and deliver NHS Health Checks. This allows Nurses and HCAs delivering NHS Health Checks, to use a standardised SystmOne template, enabling a more streamlined service for patients. All practices are using the tools, which allows Conexus to collect high quality, in-depth, pseudonymised data. This data is processed by Conexus to create practice dashboards, which display 24 KPIs for the service, mapped against PHE Best Practice Guidance (2018). The view of the data at a practice level, allows each of the 27 SystmOne practices to, assess the quality of their NHS Health Checks against the best practice standards, on a quarterly basis.ResultsComparing January-March 2017, with January-March 2018, the results show a great increase in the % of patients referred to lifestyle services or follow-ups in practice:26% increase in smokers who were offered referrals23% increase in referrals offered to weight management25% increase in follow-ups offered to patients with HbA1c above 4226% increase in follow-ups offered to patients with QRISK2 above 20%8% increase in follow-ups offered to patients with high BP
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